软组织平衡技术治疗老年重度膝骨关节炎30例临床观察

Clinical Observation of Soft Tissue Balance Technique in the Treatment of 30 Cases of Severe Knee Osteoarthritis of the Elderly

目的:观察软组织平衡技术治疗老年重度膝骨关节炎的临床疗效。方法:将60例老年重度膝骨关节炎患者随机分为治疗组和对照组,每组30例。对照组采用传统推拿方法治疗,治疗组采用软组织平衡技术治疗,2组疗程均为4周。观察2组临床疗效,以及治疗前后美国特种外科医院(HSS)评分和视觉模拟评分法(VAS)评分。结果:治疗组治愈14例,显效10例,有效5例,无效1例,总有效率为96.67%;对照组治愈7例,显效5例,有效10例,无效8例,总有效率为73.33%。2组比较,差异有统计学意义(P < 0.01)。治疗后,2组HSS评分和VAS评分较治疗前均有改善(P < 0.01);且治疗组改善程度优于对照组(P < 0.01)。结论:软组织平衡技术保守治疗老年重度膝骨关节炎简单、实用、效果显著,适合临床推广。

Objective:To observe the clinical efficacy of soft tissue balance technique in the treatment of severe knee osteoarthritis of the elderly.Methods:Sixty elderly patients with severe knee osteoarthritis were randomly divided into a treatment group and a control group,with 30 cases in each group.The control group was treated with traditional massage methods,while the treatment group was treated with soft tissue balance technique.Both groups were treated for 4 weeks,observing their clinical efficacy,as well as the HSS and VAS scores before and after treatment.Results:In the treatment group,14 cases were recovered,10 cases were significantly improved,5 cases were effective,and one case was ineffective,with a total effective rate of 96.67%;in the control group,7 cases were recovered,5 cases showed significant improvement,10 cases were effective,and 8 cases were ineffective,with a total effective rate of 73.33%.The difference between the two groups was statistically significant(P<0.01).After treatment,both HSS and VAS scores in the two groups improved compared to before treatment(P<0.01);and the treatment group was better than the control group(P<0.01).Conclusion:The conservative treatment of severe knee osteoarthritis of the elderly with soft tissue balance technique is simple,practical,and effective,suitable for clinical promotion.